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Analysis of sleep status and outcome of hospitalized glaucoma patients after operation and nursing intervention         
Analysis of sleep status and outcome of hospitalized glaucoma patients after operation and nursing intervention
作者:Zhang Sh… 文章来源:Department of Ophthalmology, Daping Hospital and Surgery Research Institute, the Third Military Medical University, Chongqing 400042, China 点击数:6868 更新时间:2006/7/11 23:06:23
Objective To explore the characteristics of somnipathy of hospitalized glaucoma patients after operation and related factors affecting sleep and nursing intervention of these patients. Methods Self-rating scale of sleep (SRSS) and self-designed questionnaire of influencing sleep quality of hospitalized postoperative glaucoma patients were used to analyze sleep status, related factors affecting sleep and postoperative complications in 56 glaucoma patients after operation hospitalized in our department from Jan, 2003 to Jun, 2004. Results 1. Total score of sleep status of postoperative glaucoma patients, insufficient sleep, sleeping time, sleeping difficulties, early waking up, waking up with a start, waking up with nightmare and taking medicine, all the seven factors scores were greater than the regular mode (p<0.01). Sleeping quality was greater than the regular mode (p<0.05). But there was no difference between the regular mode and the three factors of unstable sleep, reaction after insomnia and incomplete waking up ( p> 0.05). 2. In this series of postoperative glaucoma patients, the sleeping obstacles during hospitalization were typed as difficult falling- asleep, insufficient sleeping time, early waking-up, and waking-up with a start. Patients with severe somnipathy presented with self-feeling insufficient sleep causing fatigue, dizziness and low mood. Among the 56 patients, 29 (51.7%) were easily woken up with a start, and woke up more times than before, 11 (19.6%) woke up at night more than 30 minutes, so their effective sleeping time at night was less than 6.5 hours, 10 (17.5%) had difficulties to fall asleep, and six (8.9 %) could not sleep soundly and dreamed a lot. 3. The first three factors affecting sleep of glaucoma patients in perioperation were that somnipathy was caused by dexamethasone in 89.2% patients, by psychological factors ( anxiety and melancholy) in 83.2% patients, and by eye aching in 55.4% patients. 4. There was an obvious difference in the residence of postoperative complication between the light somnipathy group and the severe somnipathy group (p<0.01). Conclusion The average total score of sleep of glaucoma patients in perioperation was 40.5, showing serious somnipathy. Nursing intervention includes: 1. Nurses should know the past and current sleeping conditions of the patients and somnipathy types, and evaluate the current conditions. 2. Let the patients know related knowledge and learn to control themselves. 3. Tell the patients their disease condition in order to free from uncertain feeling and anxiety. 4. Nurses should give nursing care at night to help the patients sleep.
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